Victim Information (Use for Attacks or Bites)If you are the victim, check this box

First Name

Last Name

Street Address

Apt/Suite #

City

, AZ

Zip

Email

Primary Phone

Email

Relationship to You

If Minor (under 18) Enter Age

Incident Location

If Location is a Business or School, Enter Name:

Street Address

Apt/Suite #

City

, AZ

Zip

Major Crossroads

Description of Animal

Animal Type

Animal Name (if Known)

Animal Type

Animal Name (if Known)

Breed

Color(s)

Size

Age

Pet Owner Information (if Known)

First Name

Last Name

Street Address

Apt/Suite #

City

, AZ

Phone

If you have been caring for the animal, please select the number of days that you have been providing care:

Other, Pertinent Information Related to Issue

Information such as injuries received (for attacks or bites), apartment/business location within complex, gate codes to access property, non-major crossroads, description of unknown person that might be the owner of the dog/cat, etc.

By submitting this information, I swear or affirm that I am 18 years old or above and that the information submitted is true and correct.

Maricopa County presents this information as a service to the public. It has made every effort to ensure that the information contained here is accurate. It makes no warranties or guarantees, nor may anyone assume any warranties or guarantees regarding the accuracy or reliability of its content or of other information to which there is a link. Assessing accuracy and reliability of information is the sole responsibility of the user. Maricopa County shall not be liable for errors contained here or for any damages in connection with the use of the information contained here. Maricopa County does not endorse the content found on non-Maricopa County websites accessed via hyperlink. Further, the e‑mail address and any other information found here shall not be used for unsolicited advertising, marketing or other commercial purposes.